There are many reasons why there are echoes in the ears when you speak, the common ones are otitis media, rhinitis, sudden deafness and so on. 1. otitis media: a variety of causes of inflammation of the middle ear, pathogens through the Eustachian tube invasion of the middle ear or caused by the Eustachian tube congestion and swelling, poor circulation of exudate, the pressure in the Eustachian tube rises, ear pain, ear canal water or pus, part of the patient’s ear echo when talking. 2. Rhinitis: the opening of the Eustachian tube is on the lateral wall of the nasopharynx on the same side, when inflammation occurs in the nasal mucosa, the nasal mucosa is congested and swollen, and the mucous membrane of the Eustachian tube pharyngeal opening is oedematous, which can lead to poor drainage of the Eustachian tube, and there can be echoes in the ears when you speak. However, the main manifestations of nasal congestion, nasal itching, sneezing and other symptoms. 3. Sudden deafness: short-term sudden and unexplained hearing loss, generally no obvious damage to the sound transmission structure of the ear, can be accompanied by ear boring discomfort, talking in the ear echo, can be accompanied by dizziness and other symptoms. Echo in the ear when talking may have other reasons, it is recommended to go to the hospital in time, after the cause is clear, actively standardized treatment.